David M Ivey DDS PC

NPI #1912019290 in St Peters, Missouri

Provider Information

NPI Number: 1912019290
Entity Type: Organization
Organization Name: David M Ivey DDS PC
Primary Specialty: Oral & Maxillofacial Surgery
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: ONE MID RIVERS MALL DR
Address 2: STE 310
City: St Peters
State: Missouri
ZIP Code: 63376-4323
Phone: (636) 928-7217

Authorized Official

Name: DAVID M IVEY, DDS
Title: PRESIDENT
Phone: (636) 928-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Oral & Maxillofacial Surgery	204E00000X	Primary

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